| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,436 |
2,380 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,313 |
1,273 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
173 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
957 |
935 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
147 |
143 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
103 |
103 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
146 |
144 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$3K |
| 92551 |
|
458 |
458 |
$3K |
| 99173 |
|
459 |
458 |
$2K |
| 99051 |
|
78 |
78 |
$2K |
| 99050 |
|
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$800.28 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
31 |
29 |
$534.13 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
82 |
80 |
$169.66 |
| 90688 |
|
15 |
15 |
$0.00 |